JORGE LUIS CALDERON (NPI# 1194850289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194850289 |
| Entity Type | Individual |
| Full Name | JORGE LUIS CALDERON |
| Practice Address |
Ave El Jibaro Cidra PR 00739 |
| Mailing Address |
Po Box 1600 Suite 1007 Cidra PR 00739 |
| Practice Telephone | 7877396600 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 10802 | PR | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407800881 | Jorge A Calderon | Obstetrics & Gynecology | 671 Kellogg St, San Marcos, CA 92078-7303 | 2006-05-20 |
| 1114981164 | Jorge Ernesto Calderon | Preventive Medicine | 4000 Annapolis Rd, Suite 201, Baltimore, MD 21227-3600 | 2006-04-14 |
| Street Address |
AVE EL JIBARO |
| City | CIDRA |
| State | PR |
| Zip Code | 00739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548728322 | Stephanie Aileen Calo De La Torre | Student in an Organized Health Care Education/Training Program | Ave El Jibaro, Carr 172 Km 13.5 Bo, Cidra, PR 00739 | 2019-03-11 |
| 1326374752 | Pedro Colon Sr. | Pharmacy Technician | Ave El Jibaro, Cidra, PR 00739 | 2009-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295334464 | Karla M Collazo Cardona | Social Worker | Carr #1 Km 48.8, Bo Beatriz, Cidra, PR 00739 | 2020-10-20 |
| 1417569492 | Nathalia Sofia Berrios Del Valle | Social Worker | Urb. Fernandez Calle Kennedy #16 Cidra, Pr 00739, Cidra, PR 00739 | 2020-08-20 |
| 1740824721 | Anyelis M. Lozada Carrasco | Social Worker | Carr. 172 Km 13.5 Ave. El Jibaro, Cidra, PR 00739 | 2019-11-01 |
| 1083255475 | Nattasha I Padilla | Social Worker | Barrio Rincon Sector Nogueras, Carr 709 Km 0.7 Int, Cidra, PR 00739 | 2019-10-07 |
| 1861043960 | Rw Lab | Pathology | Carr. Pr 173, Km6, Hm5, Sector San Jose, Bo. Rabanal, Cidra, PR 00739 | 2019-09-20 |
| 1285283317 | Robert Rivera | Pathology | Carr. Pr 173, Km 6, Hm5, Sector San Jose, Bo. Rabanal, Cidra, PR 00739 | 2019-09-11 |
| 1639722622 | Jaclyn I Mendez | Pharmacist | Ave El Jibaro Km 3.3, Zona Industrial, Cidra, PR 00739 | 2019-07-19 |
| 1063074706 | Javier Solis | Psychologist | Hacienda La Cima, D10 Calle Robles, Cidra, PR 00739 | 2019-07-02 |
| 1235795980 | Liz Eneida Rivera Blanco | Emergency Medicine | Carr 172 Km 10.9 Bo Rio Abajo, Cidra, PR 00739 | 2019-05-17 |
| 1215593256 | Diomarie Martinez | Psychologist | Cossma, Ave El Jibaro Carr 172 Km 13.5, Cidra, PR 00739 | 2019-05-15 |
| Find all providers in zip 00739 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336755545 | Shera Chacon | General Practice | Hacienda Primavera, 131 Calle Winter, Cidra, PR 00739-9974 | 2020-09-22 |
| 1740763812 | Orlando Alvarado Santiago | General Practice | Carr 172 Km 13.5 Ave El Jibaro, Bo Bayamon Int, Cidra, PR 00739 | 2018-09-13 |
| 1164920807 | Edwin Bannacek Lopez | General Practice | 316 Calle Palmeras, Cidra, PR 00739-8400 | 2018-01-29 |
| 1891151429 | Jorge Calderon Inc Cp | General Practice | Centro Salud Familiar Cidra, Hospital Menonita, Cidra, PR 00739 | 2016-01-12 |
| 1780085407 | Roberto Zayas | General Practice | Calle Barcelo Num 12, Cidra, PR 00739 | 2014-09-12 |
| 1558780650 | Tamia Lee Rodriguez | General Practice | Urb Vista Monte Calle 2 D-1, Cidra, PR 00739 | 2014-04-16 |
| 1053748681 | Carlos Santana | General Practice | 53 Cascada, Urb Sabanera, Cidra, PR 00739 | 2013-09-27 |
| 1861746810 | Tu Centro De Curacion Inc | General Practice | Carr 1 Km 48.6, Bo Beatriz, Cidra, PR 00739 | 2012-10-30 |
| 1730480989 | Richard Graulau Rosario | General Practice | Calle Palmer #4, Esquina Antonio R. Barcelo, Cidra, PR 00739 | 2010-11-04 |
| 1447435904 | Frances Marie Morell Colberg | General Practice | Carr 172, Km 7.5, Bo Certenejas, Cidra, PR 00739 | 2008-01-03 |
| Find all providers in CIDRA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.